Active NPI
Melissa Jolliffe
- Registered Nurse
- Phoenix, AZ
National Provider Identifier
1770179632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN210578
- Practice address
- 14850 N 39TH Ave
Phoenix, AZ 85053-4510 - Phone
- (602) 896-5600
- NPI assigned
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN210578 | AZ | Primary |
Addresses
Primary practice location
14850 N 39TH Ave
Phoenix, AZ 85053-4510
Mailing address
3907 N Valinor Dr
Buckeye, AZ 85396-2163
Phone (614) 743-5365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23431530 | Other | AZ | NCSBN ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210578 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1770179632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 N VALINOR DR",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853962163",
"telephone_number": "614-743-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14850 N 39TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850534510",
"telephone_number": "602-896-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLIFFE",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN210578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCSBN ID",
"identifier": "23431530",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.